梅毒性直肠炎
Syphilitic proctitis.
作者信息
Yang Juliana F, Peng Lan, Siddiqui Ali A, Mayorga Christian A
机构信息
Division of Digestive and Liver Disease (Yang, Mayorga) and the Department of Pathology (Peng), the University of Texas Southwestern Medical Center, Dallas, Texas; and the Division of Digestive and Liver Disease, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania (Siddiqui).
出版信息
Proc (Bayl Univ Med Cent). 2016 Jul;29(3):327-8. doi: 10.1080/08998280.2016.11929457.
Syphilitic proctitis is a rare disease that usually presents as proctitis, ulcer, and neoplasm but lacks pathognomonic clinical symptoms. It is thus difficult to diagnose and may be treated inappropriately. We report a 31-year-old man who had a hard, ulcerated mass that occupied the rectal and sigmoid colon wall and mimicked a tumor. Fortunately, a biopsy of the mass demonstrated Treponema pallidum organisms consistent with syphilitic proctitis. The patient was successfully treated with intravenous benzyl penicillin, resulting in improvement in his proctitis.
梅毒性直肠炎是一种罕见疾病，通常表现为直肠炎、溃疡和肿瘤，但缺乏特异性临床症状。因此，该病难以诊断，且可能得不到恰当治疗。我们报告一名31岁男性，其直肠和乙状结肠壁有一个坚硬的溃疡性肿物，疑似肿瘤。幸运的是，肿物活检显示梅毒螺旋体，符合梅毒性直肠炎。该患者接受静脉注射苄星青霉素治疗后痊愈，直肠炎症状改善。
Zotero 插件